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Published on: April 29, 2013
Sleep habits and sleep disturbances in Dutch children: a population-based study
Raphaële Reine Lydie van Litsenburg1, Ruth C Waumans, Gerrit van den Berg
1Department of Pediatrics, VU University Medical Center, 9D11 secretariaat kindergeneeskunde, P.O. Box 7057, 1007 MB Amsterdam, Netherlands. Litsenburg@vumc.nl
Insights
This study found 25% of Dutch children experience sleep disturbances, comparable to global rates. Cultural factors significantly influence how sleep issues are perceived and reported across different populations.
Area of Science:
- Pediatric Sleep Medicine
- Cross-Cultural Psychology
Background:
- Sleep disorders contribute to significant child morbidity.
- Generalizing sleep data across diverse societies is problematic.
- Understanding normative sleep in healthy children is crucial for clinical practice.
Purpose of the Study:
- Assess sleep disturbance prevalence in Dutch children.
- Characterize sleep habits and problems in this population.
- Establish Dutch normative sleep data and compare cross-culturally.
Main Methods:
- Population-based descriptive study.
- Utilized Children's Sleep Habits Questionnaire and Sleep Self-Report.
- Analyzed 1507 proxy-reports and 262 self-reports from children aged 8.5 years.
Main Results:
- 25% of Dutch children reported sleep problems, similar to other populations.
- Sleep disturbances were more prevalent in Dutch children than US children, but less than Chinese children.
- Parental and self-reported sleep assessments showed low to moderate correlations.
Conclusions:
- Sleep habits are age-dependent in children.
- Cultural cognitions and attitudes impact sleep appraisal, explaining cross-cultural variations.
- Further research on determinants of cultural sleep norms is essential.
Abstract:
Sleep disorders can lead to significant morbidity. Information on sleep in healthy children is necessary to evaluate sleep disorders in clinical practice, but data from different societies cannot be simply generalized. The aims of this study were to (1) assess the prevalence of sleep disturbances in Dutch healthy children, (2) describe sleep habits and problems in this population, (3) collect Dutch norm data for future reference, and (4) compare sleep in children from different cultural backgrounds. A population-based descriptive study was conducted using the Children's sleep habits questionnaire and the sleep self-report. One thousand five hundred seven proxy-reports and 262 self-reports were analyzed. Mean age was 8.5 years (95% confidence interval, 8.4-8.6), 52% were boys. Sleep problems in Dutch children were present in 25%, i.e., comparable to other populations. Sleep habits were age-related. Problem sleepers scored significantly higher on all scales. Correlations between parental and self-assessments were low to moderate. Dutch children had significantly more sleep disturbances than children from the USA and less than Chinese children. Cognitions and attitudes towards what is considered normal sleep seem to affect the appraisal of sleep, this probably accounts partly for cultural differences. For a better understanding of cultural influences on sleep, more information on these determinants and the establishment of cultural norms are mandatory.
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